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Epidural abscess and encephalocele following tegmen defect due to mastoidectomy: a case report

Year 2009, Volume: 19 Issue: 3, 151 - 154, 08.06.2009

Hatice Emir Zeynep Kızılkaya Kaptan Hakan Göçmen Ethem Erdal Samim

Abstract

In chronic otitis media surgery, especially in cases with cholesteatoma, different complications can occur in the course of the operation or postoperatively. In our clinic, in one of the cases who had staged canal-wall down operation for otitis media with cholesteatoma, an iatrogenic 0.5x0.5 cm dural plate defect had occurred in tegmen tympani during the operation. In this article, we present an uncommon case who had encephalocele with epidural abscess because of unrepaired dural plate defect superimposed with early postoperative infection at the first month after the operation and we discuss it in the light of the literature.

Keywords

Complication dural defect encephalocele mastoidectomy

References

  • Moore GF, Nissen AJ, Yonkers AJ. Potential complica- tions of unrecognized cerebrospinal fluid leaks sec- ondary to mastoid surgery. Am J Otol 1984;5:317-23.
  • Greenberg JS, Manolidis S. High incidence of compli- cations encountered in chronic otitis media surgery in a U.S. metropolitan public hospital. Otolaryngol Head Neck Surg 2001;125:623-7.
  • Kizilay A, Aladağ I, Cokkeser Y, Ozturan O. Dural bone defects and encephalocele associated with chron- ic otitis media or its surgery. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2002;9:403-9.
  • Wootten CT, Kaylie DM, Warren FM, Jackson CG. Management of brain herniation and cerebrospinal fluid leak in revision chronic ear surgery. Laryngoscope 2005;115:1256-61.
  • Iurato S, Ettorre GC, Selvini C. Brain herniation into the middle ear: two idiopathic cases treated by a com- bined intracranial-mastoid approach. Laryngoscope 1989;99:950-4.
  • Jackson CG, Pappas DG Jr, Manolidis S, Glasscock ME 3rd, Von Doersten PG, Hampf CR, et al. Brain her- niation into the middle ear and mastoid: concepts in diagnosis and surgical management. Am J Otol 1997; 18:198-205.
  • Mosnier I, Fiky LE, Shahidi A, Sterkers O. Brain her- niation and chronic otitis media: diagnosis and sur- gical management. Clin Otolaryngol Allied Sci 2000; 25:385-91.
  • Montgomery WW. Dural defects of the temporal bone. Am J Otol 1993;14:548-51.
  • Neely JG, Kuhn JR. Diagnosis and treatment of iatro- genic cerebrospinal fluid leak and brain herniation during or following mastoidectomy. Laryngoscope 1985;95:1299-300.
  • Migirov L, Eyal A, Kronenberg J. Intracranial compli- cations following mastoidectomy. Pediatr Neurosurg 2004;40:226-9.
  • Veldman JE, Braunius WW. Revision surgery for chronic otitis media: a learning experience. Report on 389 cases with a long-term follow-up. Ann Otol Rhinol Laryngol 1998;107:486-91.
  • Vartiainen E, Vartiainen J. Effect of aerobic bacteriol- ogy on the clinical presentation and treatment results of chronic suppurative otitis media. J Laryngol Otol 1996;110:315-8.
  • McMurphy AB, Oghalai JS. Repair of iatrogenic tem- poral lobe encephalocele after canal wall down mas- toidectomy in the presence of active cholesteatoma. Otol Neurotol 2005;26:587-94.

Mastoidektomiye bağlı tegmen defekti sonrası gelişen epidural apse ve ensefalosel: Olgu sunumu

Year 2009, Volume: 19 Issue: 3, 151 - 154, 08.06.2009

Hatice Emir Zeynep Kızılkaya Kaptan Hakan Göçmen Ethem Erdal Samim

Abstract

Kronik otitis media cerrahi tedavisinde özellikle de kolesteatomlu olgularda ameliyat sırasında ya da sonrasında cerrahiye ait çeşitli komplikasyon- lar görülebilir. Kliniğimizde, kolesteatomlu kronik otit nedeniyle kademeli canal-wall down ameliyatı uygulanan bir olguda, ameliyat sırasında iyatrojenik olarak tegmen timpani bölgesindeki dural plate’de 0.5x0.5 cm’lik defekt meydana geldi. Bu yazıda, ameliyat sonrası birinci ayda onarılmayan dural plate defekti mevcutken erken ameliyat sonrası dönemde ortaya çıkan enfeksiyonun, epidural apseyle birlikte ensefalosel gelişmesine neden olduğu nadir bir olgu literatür ışığında sunuldu

Keywords

Komplikasyon dural defekt ensefalosel mastoidektomi

References

  • Moore GF, Nissen AJ, Yonkers AJ. Potential complica- tions of unrecognized cerebrospinal fluid leaks sec- ondary to mastoid surgery. Am J Otol 1984;5:317-23.
  • Greenberg JS, Manolidis S. High incidence of compli- cations encountered in chronic otitis media surgery in a U.S. metropolitan public hospital. Otolaryngol Head Neck Surg 2001;125:623-7.
  • Kizilay A, Aladağ I, Cokkeser Y, Ozturan O. Dural bone defects and encephalocele associated with chron- ic otitis media or its surgery. [Article in Turkish] Kulak Burun Bogaz Ihtis Derg 2002;9:403-9.
  • Wootten CT, Kaylie DM, Warren FM, Jackson CG. Management of brain herniation and cerebrospinal fluid leak in revision chronic ear surgery. Laryngoscope 2005;115:1256-61.
  • Iurato S, Ettorre GC, Selvini C. Brain herniation into the middle ear: two idiopathic cases treated by a com- bined intracranial-mastoid approach. Laryngoscope 1989;99:950-4.
  • Jackson CG, Pappas DG Jr, Manolidis S, Glasscock ME 3rd, Von Doersten PG, Hampf CR, et al. Brain her- niation into the middle ear and mastoid: concepts in diagnosis and surgical management. Am J Otol 1997; 18:198-205.
  • Mosnier I, Fiky LE, Shahidi A, Sterkers O. Brain her- niation and chronic otitis media: diagnosis and sur- gical management. Clin Otolaryngol Allied Sci 2000; 25:385-91.
  • Montgomery WW. Dural defects of the temporal bone. Am J Otol 1993;14:548-51.
  • Neely JG, Kuhn JR. Diagnosis and treatment of iatro- genic cerebrospinal fluid leak and brain herniation during or following mastoidectomy. Laryngoscope 1985;95:1299-300.
  • Migirov L, Eyal A, Kronenberg J. Intracranial compli- cations following mastoidectomy. Pediatr Neurosurg 2004;40:226-9.
  • Veldman JE, Braunius WW. Revision surgery for chronic otitis media: a learning experience. Report on 389 cases with a long-term follow-up. Ann Otol Rhinol Laryngol 1998;107:486-91.
  • Vartiainen E, Vartiainen J. Effect of aerobic bacteriol- ogy on the clinical presentation and treatment results of chronic suppurative otitis media. J Laryngol Otol 1996;110:315-8.
  • McMurphy AB, Oghalai JS. Repair of iatrogenic tem- poral lobe encephalocele after canal wall down mas- toidectomy in the presence of active cholesteatoma. Otol Neurotol 2005;26:587-94.
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Hatice Emir This is me

Zeynep Kızılkaya Kaptan This is me

Hakan Göçmen This is me

Ethem Erdal Samim This is me

Publication Date June 8, 2009
Published in Issue Year 2009 Volume: 19 Issue: 3

Cite

APA Emir, H., Kızılkaya Kaptan, Z., Göçmen, H., Samim, E. E. (2009). Mastoidektomiye bağlı tegmen defekti sonrası gelişen epidural apse ve ensefalosel: Olgu sunumu. The Turkish Journal of Ear Nose and Throat, 19(3), 151-154.
AMA Emir H, Kızılkaya Kaptan Z, Göçmen H, Samim EE. Mastoidektomiye bağlı tegmen defekti sonrası gelişen epidural apse ve ensefalosel: Olgu sunumu. Tr-ENT. June 2009;19(3):151-154.
Chicago Emir, Hatice, Zeynep Kızılkaya Kaptan, Hakan Göçmen, and Ethem Erdal Samim. “Mastoidektomiye bağlı Tegmen Defekti Sonrası gelişen Epidural Apse Ve Ensefalosel: Olgu Sunumu”. The Turkish Journal of Ear Nose and Throat 19, no. 3 (June 2009): 151-54.
EndNote Emir H, Kızılkaya Kaptan Z, Göçmen H, Samim EE (June 1, 2009) Mastoidektomiye bağlı tegmen defekti sonrası gelişen epidural apse ve ensefalosel: Olgu sunumu. The Turkish Journal of Ear Nose and Throat 19 3 151–154.
IEEE H. Emir, Z. Kızılkaya Kaptan, H. Göçmen, and E. E. Samim, “Mastoidektomiye bağlı tegmen defekti sonrası gelişen epidural apse ve ensefalosel: Olgu sunumu”, Tr-ENT, vol. 19, no. 3, pp. 151–154, 2009.
ISNAD Emir, Hatice et al. “Mastoidektomiye bağlı Tegmen Defekti Sonrası gelişen Epidural Apse Ve Ensefalosel: Olgu Sunumu”. The Turkish Journal of Ear Nose and Throat 19/3 (June 2009), 151-154.
JAMA Emir H, Kızılkaya Kaptan Z, Göçmen H, Samim EE. Mastoidektomiye bağlı tegmen defekti sonrası gelişen epidural apse ve ensefalosel: Olgu sunumu. Tr-ENT. 2009;19:151–154.
MLA Emir, Hatice et al. “Mastoidektomiye bağlı Tegmen Defekti Sonrası gelişen Epidural Apse Ve Ensefalosel: Olgu Sunumu”. The Turkish Journal of Ear Nose and Throat, vol. 19, no. 3, 2009, pp. 151-4.
Vancouver Emir H, Kızılkaya Kaptan Z, Göçmen H, Samim EE. Mastoidektomiye bağlı tegmen defekti sonrası gelişen epidural apse ve ensefalosel: Olgu sunumu. Tr-ENT. 2009;19(3):151-4.